# ERIC JACOBSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982740106
- **Authorized official:** DR. ERIC JACOBSON MD (PRESIDENT OWNER)
- **Authorized official phone:** (718) 717-9963

## Contact information

- **Practice address:** 19402 NORTHERN BLVD, STE 205, FLUSHING, NY 11358
- **Practice address phone:** (718) 717-9963
- **Practice address fax:** (718) 225-1941
- **Mailing address:** 3 OAKLEAF COURT, HUNTINGTON, NY 11743
- **Mailing address phone:** (718) 717-9963
- **Mailing address fax:** (718) 225-1941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020